Yearly Membership Dues

  

Club Forms
New Members      
  Primary Member $65.00    
  Spouse/Dependant + $20.00    
  Associate $10.00    
Renewal Members      
  Primary Member $55.00    
  Spouse/Dependant + $20.00    
         
International Member Surcharge
(In addition to above)		 + $5.00    
     
* All Members Will Receive One (1) Vote    
** All Memberships Include NCCC Membership    

Club New Membership Application

If your ready to Join the Club, Fill Out This Application and Turn in Your Dues at the Next Club Meeting.
Type of Membership
    
 
Primary Member Info
*First Name, Last Name
 
*Address
 
*City/State/Zip
 
*Home Phone: Work Phone Cell Phone
 
*Email Address Date of Birth
 
Employer
Occupation
 
Spouse Member Info (if Applicable)
First Name, Last Name
Dependant's Name(s)
*Home Phone: Work Phone Cell Phone
*Email Address Date of Birth
Employer
Occupation
Anniversary Date
 
Additional Information
Do you have a USERID for the Club's Forum? Let us know so we can add you to the membership forums.
How Did You Hear About Us?
Personal Interests & Hobbies
Corvette Affiliations (i.e. NCM, NCCC, Forums, Registries, etc...)
 
Activities of Interest to You:
Caravan Trips Dinner Cruises Racing/Drags
Shade Tree Mechanics Corvette Car Shows Other
Swap Meets Meetings  
 
Would you be interested in serving on a committee or helping at a club meeting?
Yes No
 
Your Current Corvette(s)
Corvette Year Color Type
Corvette Year Color Type
 
What Size Club Shirt?
Primary's Shirt    Spouse's Shirt
 
Any Questions You Might Have for the Club...
 

  

 



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